CHAPTER 17 EXAM QUESTIONS AND ANSWERS 100% CORRECT!!

A​ 56-year-old female with a smoking history and COPD complains of the sudden onset of shortness of breath and diaphoresis. History indicates no cardiac diagnosis but previous drug abuse 8 years ago. Vital signs are pulse​ 96, respiration 18 and mildly​ labored, blood pressure​ 168/102 mmHg, and SpO2​ 97% on home oxygen at 4​ lpm, which she has for COPD. Her lung sounds are clear but diminished bilaterally. You​ would: - ANSWER turn down the oxygen to 2​ lpm, monitor, and transport. A​ 64-year-old male presents with a blood pressure of​ 210/132 mmHg. What patient statement would you recognize as most concerning and most likely associated with the elevated blood​ pressure? - ANSWER My ears are continually ringing. You have arrived at a residence to help another crew with a​ 62-year-old woman who is complaining of​ fatigue, chest​ discomfort, and diaphoresis. The EMTs on scene report that she has a history of hypertension for which she takes a blood pressure pill and is prescribed nitroglycerin because she has atherosclerosis. She also reports an allergy to aspirin. Vitals are pulse​ 64, respirations​ 16, blood pressure​ 128/86, and SpO2​ 97% on room air. Which of the following statements made by the EMTs would require immediate intervention on your​ part? - ANSWER "I am going to put her on​ high-concentration oxygen because she had chest​ pain." The EMT shows she is correctly administering aspirin to a patient with chest pain when she​ provides: - ANSWER 325 mg of baby aspirin and instructs the patient to chew it. Immediately after assisting a diabetic patient with her​ nitroglycerin, she states that she feels​ weak, dizzy, and nauseated. Which of the following should the EMT do​ next? - ANSWER Check her blood pressure. Chronic and untreated hypertension will affect which part of the heart​ first? - ANSWER Left Ventricle You have been called for a​ 56-year-old female complaining of chest pain. She informs you that she takes nitroglycerin and asks you to get it off of the top of her refrigerator. You find it is a clear glass jar hand labeled​ "nitroglycerin." Which of the following is the most appropriate​ response? - ANSWER ​"It is best to keep the nitro in a dark container since light will inactivate​ it." A patient informs you that he has a hard time breathing when he lies in bed. You would best document this​ as: - ANSWER Orthopnea You are interviewing a patient you suspect to be suffering from acute coronary syndrome. Which of the following questions is most​ appropriate? - ANSWER "Are you having any chest discomfort or​ pain?" You have just arrived by the side of a male patient who is in c